| NPI | 1508995168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: CA HHA00173612) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CA CNA00517404) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |