| NPI | 1871973131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: TN 00170900) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: TN 00170900) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |