| NPI | 1518568757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MS 337109) |
| Additional Taxonomies | 251E00000X Home Health |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2022-05-25 |