| NPI | 1154680213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1007079) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MD k00758622746) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2016-09-02 |