| NPI | 1003571175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: FL 87-3080428) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: FL 87-3080428) |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |