| NPI | 1417508979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251T00000X PACE Provider Organization | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |