| NPI | 1619414596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHAA12079) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: DC NA00607208) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2023-03-23 |