| NPI | 1023510419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA12366) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: DC NA0000605857) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |