| NPI | 1356924203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA200003096) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD A00193436) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2024-07-30 |