| NPI | 1104423664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC HC5696) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: NC HC5696) |
| 253Z00000X In Home Supportive Care (Licence: NC HC5696) | |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |