| NPI | 1912659715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL 2056) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: FL 388) |
| 3747P1801X Technician, Personal Care Attendant (Licence: FL 2056) | |
| 374U00000X Home Health Aide (Licence: FL 237499) | |
| 376J00000X Homemaker (Licence: FL 388) | |
| 376K00000X Nurse's Aide (Licence: FL 2056) | |
| Enumeration Date | 2022-01-23 |
| Last Update Date | 2022-01-23 |