| NPI | 1184097412 |
|---|---|
| Other Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 374U00000X Home Health Aide (Licence: DC HHA11618) | |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2024-04-22 |