| NPI | 1013728914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NE 66951) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: 66951) |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-01-20 |