| NPI | 1962024422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 171M00000X Case Manager/Care Coordinator | |
| 172A00000X Driver | |
| 251J00000X Nursing Care | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide (Licence: SC 9982306) | |
| 376K00000X Nurse's Aide (Licence: GA CN0030036744) | |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |