| NPI | 1699165225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: WA NC60197231) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: WA PC60355390) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |