| 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 |