| NPI | 1174316525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: 3232511209414) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 376K00000X Nurse's Aide (Licence: 323251120914) | |
| 376K00000X Nurse's Aide (Licence: NY 323251120914) | |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-05-28 |