| NPI | 1588552905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: SC IHCP-2417) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: SC 1HCP2447) |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-06-25 |