| NPI | 1275108185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: FL L18000014110) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL CNA243440) |
| 376K00000X Nurse's Aide (Licence: FL 243440) | |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-05-24 |