| NPI | 1700086402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: IN 44-03-00-04419) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: IN 44-01-05-07059) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |