| NPI | 1144918046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP61430396) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP1430396) |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-09-08 |