NPI | 1023398195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: NY 343150780711E) |
Additional Taxonomies | 374U00000X Home Health Aide (Licence: NY 00258477) |
Enumeration Date | 2011-08-22 |
Last Update Date | 2011-08-22 |