| NPI | 1821810722 |
|---|---|
| Former Name | SARA NEWSOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: IA X000913411) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |