| NPI | 1164200895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 372600000X Adult Companion |
| 3747A0650X Technician Attendant Care Provider | |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-09-14 |