| NPI | 1497377147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: SC 51514) |
| Additional Taxonomies | 251E00000X Home Health |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2024-09-27 |