| NPI | 1699231274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA 063-R-2025) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: GA 063-R-2025) |
| 374U00000X Home Health Aide (Licence: GA 063-R-2025) | |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2020-10-20 |