| NPI | 1063959716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2023-10-16 |