| NPI | 1477885846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP00056067) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA RC00052304) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |