| NPI | 1053993592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: WI 334991) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2025-12-28 |