| NPI | 1578295655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC LPN5813) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2023-10-25 |