| NPI | 1386075521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: DC 00332) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2018-04-11 |