| NPI | 1275264467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: SC 9993973) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: 9993973) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2022-06-20 |