| NPI | 1295384212 |
|---|---|
| Former Name | WHITNEY MARIE DYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP60966241) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OR 201607583LPN) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |