| NPI | 1629956693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: IA 278217) |
| 376K00000X Nurse's Aide (Licence: NE 142923) | |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-27 |