| NPI | 1679911887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MS A059764) |
| 376K00000X Nurse's Aide (Licence: MS A059764) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-10 |