| NPI | 1659959773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NY 13654) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NY 343549250514E) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-03-30 |