| NPI | 1356019442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA200002149) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD AOO193751) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2024-07-15 |