| NPI | 1306498258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: TN I000000024611) |
| Additional Taxonomies | 251E00000X Home Health (Licence: I000000024611) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |