| NPI | 1205324506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: SD A028863) |
| Additional Taxonomies | 251E00000X Home Health |
| 347C00000X Private Vehicle | |
| 376J00000X Homemaker | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2020-07-01 |