| NPI | 1194502138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: LA RN-059988) |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2024-11-05 |