| NPI | 1700421682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| 374U00000X Home Health Aide | |
| 374U00000X Home Health Aide (Licence: OR 251E00000X) | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |