| NPI | 1780120089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: WA NC60195788) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA HC60255902) |
| 376K00000X Nurse's Aide (Licence: WA PC60357029) | |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |