| NPI | 1548650880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: TN 1000000015718) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: TN 1000000015718) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |