| NPI | 1598372930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: AR 1598372930) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-30 |