| NPI | 1104226588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA LN88520) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: MA LN88520) |
| 374U00000X Home Health Aide (Licence: MA LN88520) | |
| 376J00000X Homemaker (Licence: MA LN88520) | |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |