| NPI | 1588017172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA11764) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC HHA11764) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2018-07-17 |