| NPI | 1679173967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: IL 3000256) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: IL 3000256) |
| 372600000X Adult Companion (Licence: IL 3000256) | |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |