| NPI | 1235496167 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant | 
| Additional Taxonomies | 374700000X Technician | 
| 374U00000X Home Health Aide | |
| Enumeration Date | 2012-04-17 | 
| Last Update Date | 2024-06-24 |