| NPI | 1588442255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NY NYNC0463844R) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NC 562135) |
| 376K00000X Nurse's Aide (Licence: CT NA91278956) | |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2024-05-30 |