| NPI | 1619430923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: FL 235886) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL 119284) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |