| NPI | 1972315059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA 0000029223) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP00029223) |
| 164X00000X Licensed Vocational Nurse (Licence: WA LP00029223) | |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-01-24 |