| NPI | 1003589722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA15413) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD A00176599) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2025-12-17 |