| NPI | 1336800168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: WA NC60791384) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: WA PC61239792) |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-04 |