| NPI | 1740727767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 81-1759923) |
| Additional Taxonomies | 251J00000X Nursing Care |
| 164W00000X Licensed Practical Nurse (Licence: FL 1358731) | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2020-01-10 |