| NPI | 1336663947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-07-27 |