| NPI | 1184205247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251E00000X Home Health |
| 251T00000X PACE Provider Organization | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2021-04-19 |