| NPI | 1174182893 |
|---|---|
| Former Name | TIGIST KASSHUN MESHESHA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA14367) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |