| NPI | 1134500432 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA11281)  | 
| Additional Taxonomies | 251E00000X Home Health (Licence: DC hha11281)  | 
| Enumeration Date | 2015-06-11 | 
| Last Update Date | 2018-03-17 |