NPI | 1205184439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1051578) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC LPN1006768) |
374U00000X Home Health Aide (Licence: HHA8304) | |
Enumeration Date | 2012-08-20 |
Last Update Date | 2019-03-04 |