NPI | 1316708076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WA LP00057493) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: WA LP00057493) |
Enumeration Date | 2024-01-19 |
Last Update Date | 2024-01-19 |