| NPI | 1154045250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |