| NPI | 1568723492 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: VA 0001301241) | 
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC LPN1007810) | 
| 374U00000X Home Health Aide | |
| Enumeration Date | 2012-06-07 | 
| Last Update Date | 2023-03-21 |