| NPI | 1871837856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NC 414705) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL cna249652) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |