| NPI | 1194330902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA200002319) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: A00138725) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2026-02-16 |