| NPI | 1245715861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN500020492) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA14016) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2025-03-11 |