| NPI | 1720521305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA12487) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: DC HHA12487) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-12-09 |