| NPI | 1831294073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00117663) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: WA RN00117663) |
| 224L00000X (Licence: WA CPED2653) | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-07-21 |