| NPI | 1821408733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: MD mt0087711) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MD a00009619) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |