| NPI | 1124514732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 374U00000X Home Health Aide (Licence: AL 3744) | |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2020-12-02 |