| NPI | 1689495913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: HHA2000044079) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: HHA200004079) |
| Enumeration Date | 2024-10-19 |
| Last Update Date | 2024-10-19 |