| NPI | 1366750242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: CA 77534) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: CA 77534) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |