| NPI | 1730447079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1006777) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2016-03-23 |