| NPI | 1073247540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA200002140) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD A00185058) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-10-03 |