| NPI | 1619842713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MD A00221598) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC A00221598) |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-10-08 |