| NPI | 1073090437 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL CNA254608)  | 
| Additional Taxonomies | 253Z00000X In Home Supportive Care | 
| 310400000X Assisted Living Facility | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-07-27 | 
| Last Update Date | 2018-07-27 |