| NPI | 1215388509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion (Licence: FL 681053598) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: FL 00000) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |