| NPI | 1346893666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: TN 1000000024400) |
| Additional Taxonomies | 251E00000X Home Health (Licence: TN 190002954) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2020-07-11 |