| NPI | 1346994902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NY 343782570216E) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY 343782570216E) |
| 374U00000X Home Health Aide (Licence: NY 343782570216E) | |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-02-11 |