| NPI | 1649082512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: NY NY000435622E) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |