| NPI | 1528261476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: UT 347221-4201) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: UT 347221-4201) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |