| NPI | 1588107387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 236031) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 234612) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2019-07-16 |