| NPI | 1811513997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X (Licence: NC HC5601) |
| 253Z00000X In Home Supportive Care (Licence: NC HC5601) | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2024-10-31 |