| NPI | 1194559328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA200004695) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD CNA20242793) |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2026-06-24 |