| NPI | 1629653795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA15695) |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-04-13 |