| NPI | 1285161273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TX 018376) |
| Additional Taxonomies | 251S00000X |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2022-07-21 |