| NPI | 1972318970 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MS 336553) |
| Additional Taxonomies | 251B00000X Case Management |
| 376J00000X Homemaker | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-02-08 |
| Last Update Date | 2025-02-08 |