| NPI | 1972273027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA200002055) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD A00196895) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2025-04-08 |