| NPI | 1205487691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO LC001662927) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MO 001662927) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |