| NPI | 1205116480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 251E00000X Home Health (Licence: TN 138048) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2013-09-13 |