| NPI | 1942346028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00064826) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA ACET15429) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |