| NPI | 1881217297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: SC IHCP-1159) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: IHCP-1159) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |