| NPI | 1104686971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA200003601) |
| Additional Taxonomies | 251E00000X Home Health (Licence: DC HHA200003601) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-26 |