| NPI | 1497110290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1004870) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP52592) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |