| NPI | 1902232929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: CT NA06686918) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CT NA06686918) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |