| NPI | 1386317501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NY 00885458) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: NY 01084066) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |