| NPI | 1760016174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 246QH0401X Spec/Tech, Pathology, Hemapheresis Practitioner | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2025-12-18 |