| NPI | 1316564206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: MD MTO139237) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-08-05 |