| NPI | 1770931479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA14790) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: MD A00156607) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2020-09-29 |