| NPI | 1841821048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MD HHA14808) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MD 14808) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |