| NPI | 1104301373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN200002867) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA14020) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2024-06-28 |