| NPI | 1376217505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 172A00000X Driver |
| 311Z00000X Custodial Care Facility | |
| 315D00000X Hospice, Inpatient | |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-08-02 |