| NPI | 1063555985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: AK 100521) |
| Additional Taxonomies | 261QA0600X Clinic/Center Adult Day Care (Licence: AK 100521) |
| 385H00000X Respite Care (Licence: AK 100521) | |
| 347C00000X Private Vehicle (Licence: AK 100521) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-09 |