| NPI | 1568156594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: FL cna406270) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: TX NA0061032510) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |