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 |