| NPI | 1033938691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP61508631) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OR 10023915) |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |