| NPI | 1992012249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP00056453) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 194801) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |