| NPI | 1073976122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: KY 500242) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: KY 500242) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |