| NPI | 1407415540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 299994813) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9305114) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |