| NPI | 1366792822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA4946) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: DC 30753) |
| 164X00000X Licensed Vocational Nurse (Licence: DC 3753) | |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2018-05-15 |