| NPI | 1558136127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 253Z00000X In Home Supportive Care | |
| 376K00000X Nurse's Aide | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QR0800X Clinic/Center Recovery Care | |
| 347C00000X Private Vehicle | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2023-11-23 |
| Last Update Date | 2023-11-23 |