NPI | 1689030611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC 500017781) |
Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA11443) |
Enumeration Date | 2016-01-06 |
Last Update Date | 2025-07-11 |