| NPI | 1245673417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60086903) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: WA RN60086903) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2023-01-31 |