| NPI | 1922516905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MS 74995) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: MS 74995) |
| 374U00000X Home Health Aide (Licence: MS 74995) | |
| 376J00000X Homemaker (Licence: MS 74995) | |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |