| NPI | 1891412508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 171W00000X Contractor |
| 246ZE0500X Specialist/Technologist, Other, EEG | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-10-24 |