| NPI | 1578051546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: DC NA0000608241) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA13880) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-09-08 |