| NPI | 1194261461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN500020691) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA12618) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2026-05-11 |