| NPI | 1164101986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-18 |