| NPI | 1205490489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: CT HCA.0001486) |
| Additional Taxonomies | 251E00000X Home Health (Licence: CT HCA.0001486) |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-06-11 |