| NPI | 1093074601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN500327393) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R273629) |
| 374U00000X Home Health Aide (Licence: MD S-140-073-609-308) | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2025-10-06 |