| NPI | 1093450579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: ID ID00037138E) |
| Additional Taxonomies | 251E00000X Home Health (Licence: ID ID00037138E) |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-04-29 |