| NPI | 1104661107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-11 |