NPI | 1801135520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1006320) |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD A00061744) |
Enumeration Date | 2013-02-01 |
Last Update Date | 2017-04-05 |