| NPI | 1255059028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X |
| 376K00000X Nurse's Aide (Licence: MD A00191557) | |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2023-08-10 |