| NPI | 1043699051 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 253Z00000X In Home Supportive Care | 
| Additional Taxonomies | 374U00000X Home Health Aide | 
| 376K00000X Nurse's Aide (Licence: FL CNA105452) | |
| Enumeration Date | 2015-05-22 | 
| Last Update Date | 2020-01-09 |