| NPI | 1679088660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: CA 00283861) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CA 00908686) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |