| NPI | 1598333007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL 5721) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL B4M6Q6E5) |
| Enumeration Date | 2021-06-12 |
| Last Update Date | 2021-06-12 |