| NPI | 1003471475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP60932561) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AR L058747) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |