| NPI | 1023509551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MD LP57526) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC LPN200002852) |
| 374U00000X Home Health Aide (Licence: DC HHA13694) | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2024-07-17 |