| NPI | 1578871034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NC HC4175) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: NC HC4175) |
| 376K00000X Nurse's Aide (Licence: NC HC4175) | |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2010-09-18 |