| NPI | 1225572506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: DC HHA12494) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2017-05-10 |