| NPI | 1548675051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: FL 105339100) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-12-27 |