| NPI | 1487123212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 376K00000X Nurse's Aide (Licence: A00175568) | |
| Enumeration Date | 2018-11-22 |
| Last Update Date | 2023-07-23 |