| NPI | 1760545529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA lp00059581) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-04-29 |