| NPI | 1790444057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: SC 53403) |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2021-12-14 |