| NPI | 1144571936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1006055) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2018-05-02 |