| NPI | 1942628482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: GA BHL20513) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: PA 24933601) |
| 374U00000X Home Health Aide (Licence: PA 24933601) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2016-08-29 |