| NPI | 1538943832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: WI 00102586) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2025-06-09 |