| 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 |