| NPI | 1164920161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA11290) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: DC 0000808849) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |