| NPI | 1871363861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: VA 1401188821) |
| Additional Taxonomies | 171W00000X Contractor |
| 252Y00000X Early Intervention Provider Agency | |
| 372500000X Chore Provider | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide (Licence: VA 1401188821) | |
| 376K00000X Nurse's Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-04-11 |