| NPI | 1083395149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN200002627) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC 200002627) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-08-31 |