| NPI | 1407442791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MD CNA20202644) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |