| NPI | 1790400380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA200002084) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: A00202505) |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2024-02-07 |