NPI | 1104533348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 376J00000X Homemaker (Licence: MS 002482) |
Additional Taxonomies | 251E00000X Home Health (Licence: MS 002482) |
376J00000X Homemaker (Licence: MS 3996) | |
Enumeration Date | 2022-10-27 |
Last Update Date | 2023-04-10 |