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 |