| NPI | 1306964648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC HC3088) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NC HC3088) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |