| NPI | 1043936982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL 238428) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: FL 238428) |
| 376J00000X Homemaker (Licence: FL 238428) | |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-12 |