| NPI | 1538935994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WI wi031262101193) |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2024-12-02 |