| NPI | 1194187112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA11816) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: DC NA00607488) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |