| NPI | 1306346770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN200001744) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA13432) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2025-05-22 |