| NPI | 1710494927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: TX 018663) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2020-01-27 |