| NPI | 1861001745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: FL CNA468355) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: GA CN0030001488) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2025-10-21 |