| NPI | 1336635663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: CA 00997122) |
| Additional Taxonomies | 251E00000X Home Health |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |