| NPI | 1124549563 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN500020618) | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 374U00000X Home Health Aide | |
| Enumeration Date | 2017-07-06 | 
| Last Update Date | 2025-07-01 |