NPI | 1033718739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 376K00000X Nurse's Aide (Licence: GA CN0008961597) |
Additional Taxonomies | 251E00000X Home Health |
320700000X Residential Treatment Facility, Physical Disabilities | |
Enumeration Date | 2020-10-22 |
Last Update Date | 2020-10-22 |