| NPI | 1578922969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: MD CNA - A00134302) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2018-03-23 |