| NPI | 1295122570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MS 004543) |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider (Licence: MS 004543) |
| 376J00000X Homemaker (Licence: MS 004543) | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2016-05-20 |