| NPI | 1720686694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 376K00000X Nurse's Aide (Licence: MD A00161780) | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2024-01-05 |