| NPI | 1609682145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 9522489) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: FL 9522489) |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |