| NPI | 1336507821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MD LP45081) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: CA 267607) |
| 374U00000X Home Health Aide (Licence: DC RN1039143) | |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |