NPI | 1316206261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1004761) |
Additional Taxonomies | 374U00000X Home Health Aide |
Enumeration Date | 2012-05-14 |
Last Update Date | 2019-06-05 |