| NPI | 1598250201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: NE HHA202002) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: NE HHA202002) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2020-07-28 |