| NPI | 1972993756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: CA 2084N0400X) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 251E00000X Home Health | |
| 251E00000X Home Health | |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2026-01-12 |