| NPI | 1194282947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL cna333440) |
| Additional Taxonomies | 374T00000X Religious Nonmedical Nursing Personnel (Licence: FL cna333440) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2021-01-30 |