| NPI | 1902483522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA200002088) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD A00168626) |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2026-06-12 |