| NPI | 1275122111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MD AOO192341) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD cna20210223) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-05-12 |