| NPI | 1770128159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL L19000184766) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL L19000184766) |
| 253Z00000X In Home Supportive Care (Licence: FL L19000184766) | |
| Enumeration Date | 2019-11-09 |
| Last Update Date | 2019-11-09 |