| NPI | 1679231682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC 500020399) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2026-03-17 |