| NPI | 1780094268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: MA 6039) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: MA 6039) |
| 3747P1801X Technician Personal Care Attendant (Licence: MA 6039) | |
| 374U00000X Home Health Aide (Licence: MA 6039) | |
| 376K00000X Nurse's Aide (Licence: MA 6039) | |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |