| NPI | 1669280020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: SC IHCP-2290) |
| Additional Taxonomies | 376G00000X Nursing Home Administrator |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2024-12-18 |