| NPI | 1790180586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA2049) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD A00020742) |
| 376K00000X Nurse's Aide (Licence: DC NA00600061) | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2016-03-17 |