| NPI | 1699082438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61261829) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA P160031110) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2024-05-02 |