| NPI | 1053984468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL NC406701) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NC61009871) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |