| NPI | 1609411305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 171WV0202X Contractor, Vehicle Modifications (Licence: MD 5000389048) |
| Enumeration Date | 2019-11-17 |
| Last Update Date | 2020-11-06 |