| NPI | 1750830626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60989746) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP60427566) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2020-05-08 |