| NPI | 1912252636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1056658) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MD T-250-631-009-594) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2025-05-13 |