| NPI | 1023641321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 372500000X Chore Provider | |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2020-02-15 |