| NPI | 1306406558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MD C-620-461-734-993) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |