| NPI | 1770984767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN 60121564) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N-39965) |
| 163WA2000X Registered Nurse, Administrator (Licence: WA RN 60121564) | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: WA RN 60121564) | |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: WA RN 60121564) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |