| NPI | 1114227824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 372500000X Chore Provider (Licence: FL 372500000X) |
| 376J00000X Homemaker (Licence: FL 376J00000X) | |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |