| NPI | 1366951600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: FL CNA109443) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: FL CNA109443) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2021-02-24 |