| NPI | 1548757917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC 13405) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA13405) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |