| NPI | 1265211502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-26 |