| NPI | 1194115535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician Attendant Care Provider |
| Additional Taxonomies | 372600000X Adult Companion |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-26 |