| NPI | 1346043619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP61274753) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LP101070) |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-03-31 |