| NPI | 1457753147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA12692) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC lpn1004417) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2022-05-18 |