| NPI | 1295327716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OK 37v810340717) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OK 37v1080340717) |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |