| NPI | 1609627579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: PA 20057557) |
| Additional Taxonomies | 251E00000X Home Health (Licence: OH 401271070711) |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |