NPI | 1164764601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN500004598) |
Additional Taxonomies | 374U00000X Home Health Aide |
Enumeration Date | 2013-03-22 |
Last Update Date | 2025-08-14 |