| NPI | 1811505712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MO X001395190) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MO X001395190) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |