| 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 |