| NPI | 1487236410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NC 3733303) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC 5122591) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |