| NPI | 1831905330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN004132) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LPN1004132) |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |