| NPI | 1194365130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |