| NPI | 1639415599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA 129462) |
| Additional Taxonomies | 374700000X Technician (Licence: WA b129462) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2012-12-21 |