NPI | 1417216029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN200002447) |
Additional Taxonomies | 374U00000X Home Health Aide |
Enumeration Date | 2012-05-16 |
Last Update Date | 2023-05-03 |