NPI | 1407394737 |
---|---|
Former Name | SARA LAPORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP60159163) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OR 200930146LPN) |
Enumeration Date | 2017-02-07 |
Last Update Date | 2025-01-08 |