| NPI | 1104329929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: WI 369913) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: WI 369913) |
| 314000000X Skilled Nursing Facility (Licence: WI 369913) | |
| 315D00000X Hospice, Inpatient (Licence: WI 369913) | |
| 374U00000X Home Health Aide (Licence: WI 369913) | |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2018-03-18 |