| NPI | 1013462019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA12334) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC LPN1008143) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |