| NPI | 1952616534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP00047980) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CO 33063) |
| Enumeration Date | 2010-08-08 |
| Last Update Date | 2020-02-19 |