| NPI | 1538671193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP60787327) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MT NUR-LPN-LIC-104512) |
| 164W00000X Licensed Practical Nurse (Licence: AK NURP6392) | |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |