| NPI | 1225782840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: PA 99536210) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: PA 5216890) |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| 385H00000X Respite Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-02-11 |