| NPI | 1720661614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA200001508) |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2023-10-17 |