NPI | 1396070256 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251E00000X Home Health (Licence: FL 299995404) |
Additional Taxonomies | 251E00000X Home Health (Licence: FL 228483) |
253Z00000X In Home Supportive Care (Licence: FL 228483) | |
Enumeration Date | 2009-10-12 |
Last Update Date | 2022-03-08 |