| NPI | 1962785758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| 3747P1801X Technician, Personal Care Attendant (Licence: TX 001011617) | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2019-11-13 |