| NPI | 1043681596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 171W00000X Contractor (Licence: FL 234132) |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2022-07-18 |