| NPI | 1902136583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: AZ 1659101) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: AZ 1659101) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2021-03-31 |