| NPI | 1669007563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: NC HC5389) |
| 251S00000X (Licence: NC HC5389) | |
| 253Z00000X In Home Supportive Care (Licence: NC HC5389) | |
| 376J00000X Homemaker (Licence: NC HC5389) | |
| 376K00000X Nurse's Aide (Licence: NC HC5389) | |
| 385H00000X Respite Care (Licence: NC HC5389) | |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-09-14 |