| NPI | 1710721147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA lp60332134) |
| Additional Taxonomies | 251E00000X Home Health (Licence: WA lp60332134) |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |