| NPI | 1770248551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 237226) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 237398) |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2021-11-05 |