| NPI | 1508406430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: ND 63357) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: ND 63357) |
| 376J00000X Homemaker (Licence: ND 63357) | |
| 385H00000X Respite Care (Licence: ND 63357) | |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-06-25 |