| NPI | 1508578758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: SC 221213-0916160) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: SC 221213-0916160) |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-20 |