| 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 |