| NPI | 1427516400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: SC 563061) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: GA CN0014219460) |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |