| NPI | 1932758497 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA PHCP010489)  | 
| Additional Taxonomies | 251E00000X Home Health (Licence: GA PHCP010489)  | 
| 251J00000X Nursing Care (Licence: GA PHCP010489)  | |
| Enumeration Date | 2019-09-08 | 
| Last Update Date | 2019-09-08 |