| NPI | 1063817641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: FL CNA205076) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: FL CNA205076) |
| 372600000X Adult Companion (Licence: FL CNA205076) | |
| 374U00000X Home Health Aide (Licence: FL CNA205076) | |
| Enumeration Date | 2014-10-25 |
| Last Update Date | 2016-03-07 |