| NPI | 1619493285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 299994363) |
| Additional Taxonomies | 251E00000X Home Health |
| 251E00000X Home Health (Licence: FL 29994693) | |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2022-07-21 |