| NPI | 1023672508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC 200002908) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA14388) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2024-10-07 |