| NPI | 1053778290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NV CNA017438) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2019-08-27 |