| NPI | 1417566399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP61060882) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA EP61080761) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-30 |