| NPI | 1649916776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 201230418LPN) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP60798744) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |