| NPI | 1669847349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372500000X Chore Provider |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MO 2007026661) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |