| NPI | 1508470436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MD A00176067) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MD A00176067) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-16 |