| NPI | 1235510082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: IN 15-013-447-1) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: IN 15-013447-1) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |