| NPI | 1568891042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA9593) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: DC HHA9593) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2018-03-13 |