| NPI | 1154184232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OK 37V129761112) |
| Additional Taxonomies | 251E00000X Home Health |
| 376K00000X Nurse's Aide (Licence: OK 37V129761112) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-01 |