| NPI | 1407201684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1051163) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA11983) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2019-04-22 |