| NPI | 1295520526 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: CA 00646170)  | 
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: CA 00196694)  | 
| Enumeration Date | 2025-04-09 | 
| Last Update Date | 2025-04-09 |