| NPI | 1790303444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: GA CN0030021192) |
| Additional Taxonomies | 251E00000X Home Health (Licence: GA CN0030021192) |
| 374U00000X Home Health Aide (Licence: GA CN0030021192) | |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |