NPI | 1083026082 |
---|---|
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 | 2014-05-24 |
Last Update Date | 2014-05-24 |