| NPI | 1609696806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: WA NAC.NC.61044415) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LPN.LP.70022671) |
| Enumeration Date | 2024-10-12 |
| Last Update Date | 2026-08-13 |