| NPI | 1801540299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP61031509) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA 702129) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-02-04 |