| NPI | 1881876290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL F201819353001) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: FL F201819353001) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |