| NPI | 1518411537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: SC 20165219351082) |
| Additional Taxonomies | 251E00000X Home Health (Licence: SC 2016-52193-51082) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |