| NPI | 1811564560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NC HC6064) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: NC HC6064) |
| 376J00000X Homemaker (Licence: NC HC6064) | |
| 376K00000X Nurse's Aide (Licence: NC HC6064) | |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2021-07-12 |