| NPI | 1407227655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: MT 920112) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MT 920112) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2017-04-17 |