| NPI | 1184984536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: PA 9974394) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: PA 9974394) |
| 374U00000X Home Health Aide (Licence: PA 9974394) | |
| 376J00000X Homemaker (Licence: PA 9974394) | |
| Enumeration Date | 2012-05-19 |
| Last Update Date | 2012-05-19 |