| NPI | 1629339320 |
|---|---|
| Former Name | WALTER KOME EPIE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN00002433) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2023-08-01 |