| NPI | 1093318883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health (Licence: PA 50303601) |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2021-01-08 |