| NPI | 1922736776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA200002340) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: VA 1401205987) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2024-01-25 |