| NPI | 1184288086 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA14398)  | 
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: DC HHA14398)  | 
| Enumeration Date | 2019-04-25 | 
| Last Update Date | 2024-02-14 |