| NPI | 1053910430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL 299995616) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: FL 236139) |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2022-09-07 |