| NPI | 1215414230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA13045) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: DC hha13045) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-08-27 |