| NPI | 1073291241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-08-23 |