| NPI | 1619416856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 347C00000X Private Vehicle (Licence: MS 800963665) | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |