| NPI | 1114597259 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion (Licence: FL 234020) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 5195534) |
| 376J00000X Homemaker (Licence: FL 234020) | |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |