| NPI | 1639675697 |
|---|---|
| Former Name | VICTORIA MARY ROMAN |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 372500000X Chore Provider |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |