| NPI | 1083169353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA12370) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC AHI 1581502) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2018-03-05 |