| NPI | 1215791454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: LA 308732) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: LA 308732) |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |