| NPI | 1043683956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |