| NPI | 1477029932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: DC NA00338192) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA14114) |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |