| 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 |