| NPI | 1184214793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA20000225) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD A00191359) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2024-01-25 |