| NPI | 1700665726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: PA 74053601) |
| Additional Taxonomies | 251E00000X Home Health (Licence: PA 74053601) |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-09-28 |