| NPI | 1790021210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA8661) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MD 1760) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2022-07-21 |