| NPI | 1356602106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA6200) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2023-10-26 |