| NPI | 1932637964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL L17000120007) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: FL L17000120007) |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2017-06-04 |