| NPI | 1477900777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MD lp48464) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC LPN1006733) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2019-03-21 |