| NPI | 1730348368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA AP30003015) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00111517) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2012-04-04 |