| NPI | 1891476735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 376J00000X Homemaker | |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |