| NPI | 1851056501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP60300349) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OR 201130406LPN) |
| 164W00000X Licensed Practical Nurse (Licence: ID 61420) | |
| Enumeration Date | 2021-11-07 |
| Last Update Date | 2022-09-13 |