| NPI | 1821451790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MD HHA11964) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202223221) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2025-12-08 |