| NPI | 1306006127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC1961) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC HC1961) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 00982) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2023-01-19 |