| NPI | 1164864518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1005854) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC LPN1005854) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2023-08-10 |