| NPI | 1396142105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 381359528) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: IL 381359528) |
| 385H00000X Respite Care (Licence: IL 381359528) | |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |