| NPI | 1053858712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NE ALF354) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |