| NPI | 1073371258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 171W00000X Contractor |
| 172A00000X Driver | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |