| NPI | 1144645714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1006357) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP47827) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |