| NPI | 1750587135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 2321) |
| Additional Taxonomies | 251E00000X Home Health (Licence: AL 2321) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2007-07-08 |