NPI | 1093192791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251E00000X Home Health (Licence: MS DOM05768) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: MS DOM05768) |
253Z00000X In Home Supportive Care (Licence: MS DOM05768) | |
Enumeration Date | 2015-05-01 |
Last Update Date | 2016-09-12 |