| NPI | 1508608514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2025-10-29 |