| NPI | 1134724735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: PA 50773601) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: PA 50773601) |
| 3747P1801X Technician, Personal Care Attendant (Licence: PA 50773601) | |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |