| NPI | 1073237350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251E00000X Home Health | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2024-12-04 |