| NPI | 1093076465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA3664) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC o-552-067-007-873) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2015-08-25 |