| NPI | 1053700823 |
|---|---|
| Former Name | RENEE LAUREN BARRYMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-02-24 |