| NPI | 1376815209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: IA 374U00000X) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: IA 372600000X) |
| 3747A0650X Technician, Attendant Care Provider (Licence: IA 3747A0650X) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: IA 3747P1801X) | |
| 376J00000X Homemaker (Licence: IA 376J00000X) | |
| 376K00000X Nurse's Aide (Licence: IA 376K00000X) | |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |