| NPI | 1396184461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC 200004314) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: DC 73329) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2025-05-30 |