| NPI | 1700410263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: AR 3747A0650X) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |