| NPI | 1700344843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 374K00000X Religious Nonmedical Practitioner | |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |