| NPI | 1346614070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC 1005331) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: MD LP46157) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |