| NPI | 1851746010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: AL 374U00000x) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: AL 347C00000X) |
| 347C00000X Private Vehicle (Licence: AL 347C00000X) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-06-20 |