| NPI | 1962059337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN500024206) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA14601) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2025-08-21 |