| NPI | 1790163335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1059426) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA11178) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2020-10-21 |