| NPI | 1164798179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: GA 06-R-0720) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: GA 060-R-0720) |
| 376J00000X Homemaker (Licence: GA 06-R-0720) | |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2012-03-25 |