| NPI | 1205433679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA200001698) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MD A00180500) |
| 376K00000X Nurse's Aide (Licence: MD A00180500) | |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2025-11-20 |