| NPI | 1720509755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 291U00000X Clinical Medical Laboratory (Licence: FL 10D2254281) | |
| 376J00000X Homemaker | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-03-28 |