| NPI | 1245664283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| 171W00000X Contractor | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2019-06-06 |