| NPI | 1063934552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 101Y00000X Counselor |
| 374U00000X Home Health Aide | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |