| NPI | 1124590922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: GA 069-R-0293) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: GA 069-R-0293) |
| 376J00000X Homemaker (Licence: GA 069-R-0293) | |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |