| NPI | 1053910505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: IL 3001188) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: IL 3001188) |
| 3747A0650X Technician, Attendant Care Provider (Licence: IL 3001188) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: IL 3001188) | |
| 374U00000X Home Health Aide (Licence: IL 3001188) | |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2020-10-25 |