NPI | 1376802314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1041070) |
Additional Taxonomies | 374U00000X Home Health Aide (Licence: MD A330085161517) |
Enumeration Date | 2012-05-11 |
Last Update Date | 2023-08-08 |