| NPI | 1720510936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60836984) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP60695862) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2018-04-18 |