| NPI | 1275945651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 202008252LPN) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP61500470) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2024-01-16 |