| NPI | 1225398720 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1059550) | 
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MD H510229621040) | 
| Enumeration Date | 2012-05-18 | 
| Last Update Date | 2023-08-11 |