| NPI | 1972314128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: WA HM60777731) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-16 |