| NPI | 1528456944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN200001697) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA11005) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2024-09-10 |