| NPI | 1407635097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: CA 00747986) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: CA 00227135) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |