| NPI | 1679103022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA15179) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: DC NA0000812419) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2021-01-30 |