| NPI | 1811513997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NC 191081) |
| 172A00000X Driver | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |