| NPI | 1972287886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC 200002563) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0002100280) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |