| NPI | 1629281258 |
|---|---|
| Former Name | TORY SPARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: WA RN00138240) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00138240) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2009-12-15 |