| NPI | 1548833171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 520430) |
| 163WH0200X Registered Nurse Home Health (Licence: PA 520430) | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2024-02-23 |