| NPI | 1568344919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: FL j6c3t3y5) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: FL j6c3t3y5) |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-10-09 |