| NPI | 1891432175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO 2022015958) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MO 2022015958) |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2023-03-15 |