| NPI | 1144827205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL 188797) |
| Additional Taxonomies | 372500000X Chore Provider |
| 372600000X Adult Companion | |
| 376K00000X Nurse's Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |