| NPI | 1083374540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 2472R0900X Technician, Other, Renal Dialysis | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2021-12-26 |
| Last Update Date | 2021-12-26 |