| NPI | 1902508583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |