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 |