| NPI | 1194011262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60231463) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP60035753) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-07-29 |