| NPI | 1588170187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: 6341) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 6341) |
| 124Q00000X Dental Hygienist (Licence: 6341) | |
| 174H00000X Health Educator (Licence: 6341) | |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2018-05-06 |