| NPI | 1639550973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN20002516) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA11208) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2023-07-12 |