| NPI | 1053926857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA200001762) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CNA20202197) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2025-04-03 |