| NPI | 1801273974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LP54878) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP54878) |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2023-07-28 |