| NPI | 1669198511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: FL 236090) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 480) |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-12 |