| NPI | 1679267298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: ND VIL-81-1537) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: VIL-81-1537) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-06 |