| NPI | 1376204875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-06 |