| NPI | 1912613464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: ND HC5370) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: NC HC5370) |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-01-27 |