| NPI | 1710246335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA6857) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MD D-552-067-001-584) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2020-06-25 |