| NPI | 1184447583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL 0000000000) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |