| NPI | 1649419375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN 60071368) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA 10090529) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-04-08 |