| NPI | 1114599800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA200002488) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD CNA20212379) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2024-04-22 |