NPI | 1013420108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1004120) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP43275) |
Enumeration Date | 2017-11-10 |
Last Update Date | 2017-11-10 |