| NPI | 1679396238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: IN 24-016473-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27081216A) |
| 3747A0650X Technician, Attendant Care Provider (Licence: IN 24-016473-1) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: IN 24-016473-1) | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2025-03-17 |