| NPI | 1053748673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA9654) |
| Additional Taxonomies | 251E00000X Home Health |
| 251E00000X Home Health (Licence: DC HHA9654) | |
| 253Z00000X In Home Supportive Care (Licence: DC HHA9654) | |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2015-11-30 |