NPI | 1104145176 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251E00000X Home Health (Licence: GA 223312) |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: GA cn0028862135) |
Enumeration Date | 2010-05-28 |
Last Update Date | 2010-05-28 |