| NPI | 1104210657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 376J00000X Homemaker |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2025-08-07 |