| NPI | 1699427567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: MS 76630) |
| Additional Taxonomies | 251J00000X Nursing Care |
| 374U00000X Home Health Aide (Licence: MS 76630) | |
| 376K00000X Nurse's Aide (Licence: MS 76630) | |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2023-09-27 |