| NPI | 1619439395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TN I000000028659) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: TN 00138751) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2021-10-26 |