| NPI | 1619619327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-04-12 |