| NPI | 1700653722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MO 251E00000X) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MO 261QP2300X) |
| 374U00000X Home Health Aide (Licence: MO 253Z00000X) | |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2024-01-02 |