| NPI | 1760015119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |