| NPI | 1154901593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA 00045423) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: WA 00045243) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-09 |