| NPI | 1861263527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 372600000X Adult Companion |
| 3747A0650X Technician Attendant Care Provider | |
| 374U00000X Home Health Aide | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |