| NPI | 1548521388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1008771) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2023-04-12 |