| NPI | 1659988699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 302F00000X Exclusive Provider Organization | |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |