| NPI | 1639864143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: AZ CNA1000003907) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: AZ CNA1000003907) |
| 374U00000X Home Health Aide (Licence: AZ CNA1000003907) | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-10 |