| NPI | 1104674803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA200004565) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2025-08-13 |