| NPI | 1902598865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: VA HCO-253241) |
| Additional Taxonomies | 251E00000X Home Health (Licence: VA HCO-253241) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |