| NPI | 1154930527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: FL 236899) |
| Additional Taxonomies | 372500000X Chore Provider |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2021-09-17 |