| NPI | 1740712819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60590242) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OR 201508403RN) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2018-10-08 |