| NPI | 1740774678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA13738) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: DC NA00606286) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |