NPI | 1104216829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1007642) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0002089348) |
Enumeration Date | 2015-02-02 |
Last Update Date | 2015-02-02 |