| NPI | 1396004123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC LPN500020515) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2025-09-25 |