| NPI | 1780983494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: CT #HCA.0000529) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: CT NA9988838) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |