| NPI | 1912660655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |