| NPI | 1104318401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: FL CNA347186) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL CNA347186) |
| 374U00000X Home Health Aide (Licence: FL CNA347186) | |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |