| NPI | 1033501549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OK 37V540601214) |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2015-02-21 |
| Last Update Date | 2015-02-21 |