| NPI | 1821543034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1008265) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD 0002093406) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |