| NPI | 1336793199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: AR 050595920816r) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: AR 05059592081R) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |