| NPI | 1619798345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: WA HM61136119) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: WA HM61136119) |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-10-24 |