| NPI | 1508900572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: FL 686240396) |
| Additional Taxonomies | 385H00000X Respite Care |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-08 |