NPI | 1194593483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP00051825) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WA LP00051825) |
Enumeration Date | 2023-12-15 |
Last Update Date | 2023-12-15 |