| NPI | 1093345100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NV NV20191567494) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2025-01-29 |