| NPI | 1093401648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: WI 0019424) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 325231-31) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |