| NPI | 1831609130 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: DC rn50024747) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN500024747) | 
| 374U00000X Home Health Aide (Licence: DC HHA13127) | |
| Enumeration Date | 2017-10-02 | 
| Last Update Date | 2025-07-27 |