| NPI | 1114334570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1005533) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: DC RN1053142) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2019-08-06 |