| NPI | 1386998581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN500020512) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2025-07-16 |