| NPI | 1083179568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TX 012684) |
| Additional Taxonomies | 251E00000X Home Health (Licence: TX 012684) |
| 3747P1801X Technician Personal Care Attendant (Licence: TX 012684) | |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |