| NPI | 1790500486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NC HC7794) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC HC7794) |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2025-03-17 |