| NPI | 1265019962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: IN CNA0803793) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: IN HHA1100351) |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2021-03-27 |