| NPI | 1750854097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1007977) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP53156) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |