| NPI | 1417259003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 688995696) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: FL 688995698) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |