| NPI | 1356517031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA rn00177479) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA nc10090039) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |