| NPI | 1548902406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NC 87705) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP61024928) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2025-07-27 |