| NPI | 1962869180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 372600000X Adult Companion | |
| 372500000X Chore Provider | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2017-04-04 |