| NPI | 1003977133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00152572) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: WA LP00053387) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-04-20 |