| NPI | 1225408198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA11422) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC LPN1006794) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-21 |