| NPI | 1811629660 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 376G00000X Nursing Home Administrator |
| 376J00000X Homemaker | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2025-02-11 |