| NPI | 1528819257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 200930607LPN) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP60474216) |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |