| NPI | 1801772579 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NE 128423) |
| Additional Taxonomies | 247000000X Technician, Health Information |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |