| NPI | 1093464356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL C234000946370) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: FL I263060975650) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-03-22 |