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 |