| NPI | 1467648022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: UT 120880-2401) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: 120880-2401) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |