| NPI | 1528715646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2024-02-07 |