| NPI | 1245129675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NE 71269) |
| Additional Taxonomies | 372500000X Chore Provider |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |