| NPI | 1679091771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MO 374U00000X) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 163WH0200X Registered Nurse, Home Health (Licence: MO 163WH0200X) | |
| 172A00000X Driver (Licence: MO 172A00000X) | |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2022-07-21 |