| NPI | 1548075476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC HC7990) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: NC HC7990) |
| 251K00000X Public Health or Welfare | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-08-24 |