| NPI | 1306422019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1004141) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP43468) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-23 |