| NPI | 1114225992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X (Licence: IN 200425060 A) |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 251X00000X Supports Brokerage | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |