| NPI | 1306505896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: LA 88424) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 253Z00000X In Home Supportive Care (Licence: MS A063444) | |
| Enumeration Date | 2021-12-11 |
| Last Update Date | 2021-12-11 |