| NPI | 1558802009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA12690) |
| 376K00000X Nurse's Aide (Licence: DC NA0000810594) | |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2023-12-13 |