| NPI | 1043693591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: DC 607024) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA11469) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2018-08-09 |