| NPI | 1730229709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00111106) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: WA RN00111106) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2019-03-22 |