| 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 |