| NPI | 1730449547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC Lpn1008892) |
| Additional Taxonomies | 251E00000X Home Health (Licence: DC 21723168159179) |
| Enumeration Date | 2012-05-26 |
| Last Update Date | 2024-08-26 |