| NPI | 1760929053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OK 37V261041204) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: OK 37H041801211) |
| 253Z00000X In Home Supportive Care (Licence: OK 37V261041204) | |
| 376K00000X Nurse's Aide (Licence: OK 37H041801211) | |
| 376K00000X Nurse's Aide (Licence: NY 37H041801211) | |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |