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 |