| NPI | 1639928930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: CT HCA.0001965) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CT HCA.0001965) |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-06-06 |