| NPI | 1114280195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DC LPN4961100) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2023-06-16 |