| NPI | 1528623956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NY 2192L001) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: NY 2192L001) |
| 376J00000X Homemaker (Licence: NY 2192L001) | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |