| NPI | 1306514872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: FL 237889) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 518477) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |