| NPI | 1386493823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: FL C53341A4B) |
| 251E00000X Home Health | |
| 251E00000X Home Health | |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-16 |