| NPI | 1245462928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: FL 693195298) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL CNA87627) |
| 374U00000X Home Health Aide (Licence: FL 693195296) | |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2023-06-29 |