| NPI | 1669056271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: 400018311018) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OK 400018311018) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-10 |