| NPI | 1447668082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 374U00000X Home Health Aide (Licence: AK 7053) | |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2019-07-11 |