| NPI | 1679045611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 201811033LPN) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP61051868) |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2020-07-24 |