| NPI | 1770155418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MD CNA20212193) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: DC hha200001933) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2026-02-20 |