| NPI | 1740893338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: MD CNA20202111) |
| Additional Taxonomies | 172A00000X Driver (Licence: MD M635135968123) |
| 374U00000X Home Health Aide (Licence: MD CNA20202111) | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide (Licence: MD CNA20202111) | |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |