NPI | 1053958199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1002682) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP39128) |
Enumeration Date | 2019-12-09 |
Last Update Date | 2019-12-09 |