| NPI | 1184289621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP60742085) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AL 2-061350) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |