| NPI | 1235873688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: WA NC10064459) |
| Additional Taxonomies | 372600000X Adult Companion |
| 374U00000X Home Health Aide (Licence: ID IDWA018720304) | |
| 376K00000X Nurse's Aide (Licence: WA NC10064459) | |
| 376K00000X Nurse's Aide (Licence: ID IDWA018720304) | |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2022-04-22 |