| NPI | 1790020675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: TX 017064) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2015-11-17 |