| NPI | 1063976009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: CA 01120912) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: CA 01120912) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |