| NPI | 1194389189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: HI LPN-19247) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP-57841) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |