| NPI | 1881443125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-05-22 |