| NPI | 1801373733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN500023584) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC 13830) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2026-05-26 |