| NPI | 1942669601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA11846) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD A00117088) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |