| NPI | 1851033443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61302475) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP61268893) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-07-27 |