| NPI | 1174073977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA1244) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC hhh12444) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-13 |