| NPI | 1023649142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HH8764) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA8764) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |