| NPI | 1104145176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 223312) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: GA cn0028862135) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2010-05-28 |