| NPI | 1598313371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1006974) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP49978) |
| 164W00000X Licensed Practical Nurse (Licence: VA 0002093594) | |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |