| NPI | 1760112742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: MD 24R-115) |
| 376K00000X Nurse's Aide (Licence: MD A00109435) | |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2024-03-12 |