| NPI | 1134803356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: CA 4600398647) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: CA 7290321) |
| 374U00000X Home Health Aide (Licence: CA X8X6Q8C2) | |
| 374U00000X Home Health Aide (Licence: CA 01183025) | |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2023-06-09 |