| NPI | 1295313740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL 5241795) |
| Additional Taxonomies | 251E00000X Home Health |
| 376J00000X Homemaker | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-04-20 |