| NPI | 1669731626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: DC LPN100512) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2021-07-06 |