| NPI | 1518445196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA lp60337656) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA LP60337656) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-24 |