| NPI | 1598278434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: IA 070780) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IA 070780) |
| 253Z00000X In Home Supportive Care (Licence: IA 070780) | |
| 315D00000X Hospice, Inpatient (Licence: IA 070780) | |
| 374U00000X Home Health Aide (Licence: IA 070780) | |
| 376K00000X Nurse's Aide (Licence: IA 070780) | |
| 385H00000X Respite Care (Licence: IA 070780) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: IA 070780) | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2018-06-13 |