| NPI | 1821883760 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: PA 81823601) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: PA 81823601) |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-04-11 |