| NPI | 1881200731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1047901) |
| Additional Taxonomies | 251E00000X Home Health (Licence: DC HHA15371) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |