| NPI | 1376312645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TN LPN0000085984) |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2024-01-02 |