| NPI | 1588869358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1005241) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP45812) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2023-05-16 |