| NPI | 1578207866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282E00000X Long Term Care Hospital |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 261QP2400X Clinic/Center, Prison Health | |
| 376J00000X Homemaker | |
| Enumeration Date | 2022-04-24 |
| Last Update Date | 2022-04-24 |