| NPI | 1902465578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion (Licence: PA 42693601) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: PA 42693601) |
| 374U00000X Home Health Aide (Licence: PA 42693601) | |
| 376J00000X Homemaker (Licence: PA 42693601) | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-11 |