| NPI | 1992961064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: WA NA60041076) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA CG60146863) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2011-12-02 |