| NPI | 1851787352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: DC HHA11117) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |