| NPI | 1508237033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA 60452410) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK 0064972) |
| 164W00000X Licensed Practical Nurse (Licence: OR 201404047) | |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |