| NPI | 1033478029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA3590) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD u212744612636) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2018-03-01 |