| NPI | 1740515816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: SC 0749881) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2019-06-05 |