| NPI | 1114064706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: CA 00130600) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CA 00433753) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2025-09-11 |