| NPI | 1760137970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: GA 0030076837) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |