| NPI | 1699646802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA200005001) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-12-07 |