| NPI | 1114613676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1007230) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP23978) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |