| NPI | 1700391166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN200001667) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA13288) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2024-07-02 |