| NPI | 1154681005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC RN1057334) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2023-06-09 |