| NPI | 1972142560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: PA 43043610) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: PA 43043610) |
| 372600000X Adult Companion (Licence: PA 43043610) | |
| 376K00000X Nurse's Aide (Licence: PA 43043610) | |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |