| NPI | 1285990119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: MO 01151547) |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant (Licence: MO 01151547) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |