| NPI | 1275252280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: FL 236099) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL 249477) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |