| NPI | 1144759358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NV NV20171137651) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NV 2003674062101) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2022-07-21 |