| NPI | 1669857363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2020-05-15 |