| NPI | 1912149188 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: FL CNA 54979)  | 
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider (Licence: FL 684206296)  | 
| 3747P1801X Technician, Personal Care Attendant (Licence: FL 684206296)  | |
| 372600000X Adult Companion (Licence: FL 684206296)  | |
| Enumeration Date | 2009-04-02 | 
| Last Update Date | 2009-04-02 |