| 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 |