| NPI | 1952078891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL 3814) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: FL 784555) |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-09-02 |