| NPI | 1932646247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: AZ 9233373) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: AZ BH5085) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2020-09-15 |