| NPI | 1366549172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: WA RN00086881) |
| Additional Taxonomies | 163WR0400X Registered Nurse Rehabilitation (Licence: WA RN00086881) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-24 |