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 |