| NPI | 1023503836 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: DC NA0000602434) | 
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant | 
| Enumeration Date | 2018-06-25 | 
| Last Update Date | 2018-06-25 |