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 |