| NPI | 1497644702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NE 22468) |
| Additional Taxonomies | 372500000X Chore Provider |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |