| NPI | 1922623537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2022-10-21 |