| NPI | 1619678703 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 376J00000X Homemaker |
| 376K00000X Nurse's Aide | |
| 251E00000X Home Health | |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-03-15 |