| NPI | 1780063263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: WA RN60699038) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 278383) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2022-07-21 |