| NPI | 1396925483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NE 0075997) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NE 0075997) |
| 374U00000X Home Health Aide (Licence: NE 0075997) | |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2007-11-06 |