| NPI | 1780322578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-05-23 |