| NPI | 1851794721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC lpn 1007585) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LPN 50675) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |