| NPI | 1619766276 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MS A08541) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MS A085419) |
| 376J00000X Homemaker | |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-01 |