| NPI | 1518640812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: IN 23-015759-1) |
| Additional Taxonomies | 251E00000X Home Health (Licence: 23-015759-1) |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-08-11 |