| NPI | 1699214619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP70073172) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 264311) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2026-01-13 |