| NPI | 1518227685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA9295) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC 1006435) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2018-05-01 |