| NPI | 1124780705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: WA 0097850) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 0097850) |
| 163WH1000X Registered Nurse, Hospice (Licence: WA 0097850) | |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2021-10-11 |