| NPI | 1902333123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA rn00121191) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA rn00121191) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2017-05-18 |