| NPI | 1982218780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 247200000X |
| 251E00000X Home Health | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-09-01 |