| NPI | 1912304213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA10981) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: DC 606159) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-04 |