| NPI | 1699176719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider (Licence: FL 113606200) |
| 253Z00000X In Home Supportive Care (Licence: FL 233569) | |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2022-12-08 |