| NPI | 1194198663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1009005) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2024-10-03 |