| NPI | 1922405794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC 11236) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: DC NA00606318) |
| Enumeration Date | 2014-11-22 |
| Last Update Date | 2018-04-12 |