| NPI | 1295220630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MD A00129430) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC LPN1008558) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |