| NPI | 1134545981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |