| NPI | 1730664483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA 164W00000X) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP00040779) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2022-07-27 |