| NPI | 1396590436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL 5234212) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |