| NPI | 1700263613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA10299) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD A00094489) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2016-10-10 |