| NPI | 1144628702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 171W00000X Contractor | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2014-12-15 |