| NPI | 1760140719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA200002106) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD 00160325) |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2024-10-22 |