| NPI | 1306182068 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 374U00000X Home Health Aide | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 251E00000X Home Health | |
| Enumeration Date | 2012-12-27 | 
| Last Update Date | 2024-07-31 |