| NPI | 1821275413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: CT HCA0002162) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: LA 05800) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2023-01-10 |