| NPI | 1457452948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MO 0003703) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 0003703) |
| 372500000X Chore Provider (Licence: MO 0003703) | |
| 376J00000X Homemaker (Licence: MO 0003703) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2017-03-03 |