| NPI | 1205433679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MD A00180500) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MD A00180500) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-22 |