| NPI | 1174156715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: SC 9992889) |
| Additional Taxonomies | 251E00000X Home Health |
| 3747A0650X Technician Attendant Care Provider | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2023-08-01 |