| NPI | 1508521758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NY 01124102) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NY 01124102) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2021-11-02 |