| NPI | 1205101995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 374K00000X Religious Nonmedical Practitioner (Licence: MD 78468999) | |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |