| NPI | 1396521175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251J00000X Nursing Care | |
| 261QC1500X Clinic/Center Community Health | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |