| NPI | 1003668203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 372500000X Chore Provider | |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-04-02 |