| NPI | 1053994129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MD A00186431) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MD cna20194452) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2022-09-19 |