| NPI | 1861217432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 1710I1002X Military Health Care Provider, Independent Duty Corpsman | |
| 172A00000X Driver | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |