| NPI | 1659190171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: SC IHCP-2318) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: SC IHCP-2318) |
| 253Z00000X In Home Supportive Care (Licence: SC IHCP-2318) | |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-12-03 |