NPI | 1639623283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251E00000X Home Health (Licence: KY 500256) |
Additional Taxonomies | 251E00000X Home Health (Licence: KY 199479) |
251E00000X Home Health (Licence: KY 3497) | |
Enumeration Date | 2016-08-12 |
Last Update Date | 2016-08-12 |