| NPI | 1669731287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1006577) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MD L-145-506-025-364) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2014-12-11 |