| NPI | 1164987764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 171WH0202X Contractor Home Modifications |
| 253Z00000X In Home Supportive Care | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |