| NPI | 1871748723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP60068828) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NC10100034) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2009-02-27 |