| NPI | 1104638139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 374U00000X Home Health Aide (Licence: FL CNA417568) | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |