| NPI | 1982027173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC LPN1008237) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2017-04-12 |