| NPI | 1144566589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: WA lp00031729) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA lp00031729) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2012-12-12 |