| NPI | 1306467519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver (Licence: MO w105050002) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MO 134186B) |
| 376K00000X Nurse's Aide (Licence: MO 134186B) | |
| 372600000X Adult Companion (Licence: MO 134186B) | |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |