| NPI | 1972020519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC 13510) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-07-21 |