| NPI | 1649890880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA14975) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD A00178295) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |