| NPI | 1639532690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA11883) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: DC HHA11883) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2018-06-06 |