| NPI | 1720284144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: CA 211642) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CA 211642) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2007-07-08 |