| NPI | 1003220674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA10869) |
| Additional Taxonomies | 251E00000X Home Health (Licence: DC HHA10869) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |