| NPI | 1932815461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 201803396LPN) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP60857983) |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-01-27 |