| NPI | 1871872010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60253443) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP60217399) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2012-01-13 |