| NPI | 1821781048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 376K00000X Nurse's Aide (Licence: WV 61847) | |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |