| NPI | 1679399190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251E00000X Home Health | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-11-30 |
| Last Update Date | 2024-12-19 |