| NPI | 1962704643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NC HC4249) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: NC HC4249) |
| 3747P1801X Technician, Personal Care Attendant (Licence: NC HC4249) | |
| 374U00000X Home Health Aide (Licence: NC HC4249) | |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |