| NPI | 1689311748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NY 343475461013E) |
| Additional Taxonomies | 172A00000X Driver (Licence: NY 793558618) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-05-19 |