| NPI | 1679111769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |