| NPI | 1578155719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: DC NA0000608291) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD NA0000608291) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-02-09 |