| NPI | 1073062501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: FL pn5183177) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: FL pn5183177) |
| 385H00000X Respite Care (Licence: FL pn5183177) | |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |