| NPI | 1285852764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: GA 20019336068) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: GA 20019336068) |
| 376K00000X Nurse's Aide (Licence: GA 20019336068) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2012-01-05 |