| NPI | 1427409143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN961244) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP46982) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |