| NPI | 1306119185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA4670) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2018-03-01 |