| NPI | 1992059166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA2977) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: DC 13567) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2018-04-16 |