| NPI | 1518454115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC Hha13618) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 251E00000X Home Health (Licence: DC hha13618) | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-05-04 |